Provider Demographics
NPI:1306087994
Name:RICE, XIMENA DEL ROCIO (RN)
Entity type:Individual
Prefix:MRS
First Name:XIMENA
Middle Name:DEL ROCIO
Last Name:RICE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:XIMENA
Other - Middle Name:
Other - Last Name:DEL ROCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CUADRADO-MOREIRA
Mailing Address - Street 1:318 KNICKERBOCKER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-3602
Mailing Address - Country:US
Mailing Address - Phone:718-765-6056
Mailing Address - Fax:347-803-1874
Practice Address - Street 1:318 KNICKERBOCKER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-3602
Practice Address - Country:US
Practice Address - Phone:718-765-6056
Practice Address - Fax:347-803-1874
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY727272163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse